Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Long Beach, CA

NPI number 1154384121 Active

Practice location

3111 Long Beach Blvd
Long Beach, CA 90807-5015

Call (562) 426-5155 Map

Fax (562) 426-5007

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	930000440 (CA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1154384121
Entity type: Organization (Type 2)
Issued: Apr 10, 2006
Last updated: Mar 10, 2025
Status: Active

Other names

<unavail>
United Dialysis Center · doing business as
United Dialysis Center · doing business as

Authorized official

Samuel T. Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1154384121

Total Renal Care Inc's National Provider Identifier is 1154384121, issued on Apr 10, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Long Beach, CA. The record was last updated on Mar 10, 2025.